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OTHER SUPPORTING

NURSING DIAGNOSIS JUSTIFICATION ADVANTAGE DISADVANTAGE


THEORIES
According to ABC’s Airway is According to actual and If we will be prioritizing this If we will not be prioritizing
the 1st priority, because airway potential problem we must problem, the patient will be this problem, the client might
obstruction is an emergency. It treat the actual problem first. able to expectorate secretions be in respiratory distress,
causes hypoxia which risk the And in my patient Airway thus having a patent airway, which will aggravate the other
damage to other organs such clearance should be treated which will help in improving problems.
Impaired Airway Clearance as brain, heart and kidneys. first since this aggravates the ventilation, thus it will also
related to accumulation of other problems for example is help to resolve the 2nd
secretions in tracheobronchial the Impaired cerebral problem. Which is cerebral
tree perfusion, how would we give tissue perfusion, because
oxygenation in the brain if the oxygen is needed to tissue
airway is not patent. perfusion in the brain. In order
to supply enough oxygen to
the brain the airway needs to
be patent.
According to ABC’s Breathing Acute vs. Chronic Problem This is the 3rd priority since Once this is not resolved, the
is the 2rd priority, the states that , we must the pt. diagnosis is CVA , part of the brain that does not
exchange of oxygen in order to prioritized the new diagnosis, when the there is a good receive oxygen might lost its
Impaired cerebral tissue supply oxygen to the brain to that is why this nursing oxygen perfusion on lungs and function which is significant to
perfusion related to perform well. diagnosis is prioritized as 3rd then it will be delivered to the improve the motor and sensory
mechanical reduction of because we need to address brain which will be helping perception of the patient.
arterial blood flow first the Development of other problems such as the 4th
Pneumonia since the pt. and 6th.
developed some level of
adaptation with the illness.
According to ABC’s Breathing Acute vs. Chronic Problem This is the 3rd priority since If there is no peripheral tissue
is the 3rd priority, the exchange states that , we must upon receiving the perfusion perfusion , tissues or muscles
Impaired peripheral tissue
of oxygen in order to supply prioritized the new diagnosis, needed in peripheral tissues, in extremities doesn’t have
perfusion related to
oxygen to the body that is why this nursing this will help the muscle and oxygen which means they will
mechanical reduction of
diagnosis is prioritized as 4th tissue to function well, and get easily tired when moving
arterial blood flow
because we need to address will help in mobility and thus the pt. mobility will be
first the perfusion in the activities of the patient. compromised.
cerebral tissue before the
peripheral.
According to maslow’s Trend vs. Isolation Finding 4th priority because impaired When there is an impaired
hierarchy of need, safety and says that recognizing mobility is the first thing to mobility, patient will be in a
comfort is 2nd level on the deterioration is a key. focus on before focusing on 5th high risk of injury, and patient
Impaired mobility related to hierarchy to priority. In the and 6th problems. By resolving might develop other
neuromuscular impairment case of the patient this this problem this 6th and 7th complications.
diagnosis causes risk for injury problem will be easier to
in the patient such as fall. manage.
Thus, this is the 4th priority.
According to maslow’s Trend vs. Isolation Finding Prioritize as 5th because If this will not be resolved the
hierarchy of need, safety and says that recognizing impaired swallowing might pt. will be in NGT thus, there
comfort is 2nd level on the deterioration is a key. give a risk of Decreased fluid will be an Imbalanced
Impaired swallowing related to hierarchy to priority. In the volume, and Imbalance nutrition less than body
neuromuscular impairment case of the patient this nutrional status: less than body requirements.
diagnosis causes risk for injury requirements.
in the patient such as
aspiration.
According to maslow’s Trend vs. Isolation Finding 6th priority because helping the If pt will be having an activity
hierarchy of need, safety and says that recognizing pt. in improving ADL’s will intolerance, pt. will not be
comfort is 2nd level on the deterioration is a key. give the patient motivation to living again in her normal
Activity intolerance related to
hierarchy to priority. In the continue and improve and routines which is
generalized weakness
case of the patient this participate in ADL gradually. compromised.
diagnosis causes risk for injury
in the patient such as fall.